Uniontown Health Services | |
330 Old Hamburg Rd Uniontown AL 36786-2614 | |
(334) 628-2651 | |
(334) 628-2656 |
Full Name | Uniontown Health Services |
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Speciality | Clinic/Center |
Location | 330 Old Hamburg Rd, Uniontown, Alabama |
Authorized Official Name and Position | Patricia Gibson (CEO) |
Authorized Official Contact | 3348747428 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Uniontown Health Services P O Box 2213 228 Selma Avenue Selma AL 36702-2213 Ph: (334) 874-7428 | Uniontown Health Services 330 Old Hamburg Rd Uniontown AL 36786-2614 Ph: (334) 628-2651 |
NPI Number | 1033298757 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 12/21/2010 |
Medicare PECOS PAC ID | 0143219196 |
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Medicare Enrollment ID | O20101115001175 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033298757 | NPI | - | NPPES |
510G700545 | Other | AL | PART B PTAN |
630000008 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Alabama) | Primary |